DesRoches Paula
Employee Health Sciences, Emory Healthcare, Atlanta, GA, USA.
AAOHN J. 2003 Jun;51(6):240-2.
Because of the announcement of the ACIP recommendation on December 13, 2002 and the commencement of the smallpox vaccine program at various facilities nationally, adverse events data are being carefully analyzed by CDC researchers. As previously discussed, CDC recommend a cardiac risk profile be included in the pre-event vaccination screening criteria. A definitive link between the onset of myopericarditis and the smallpox vaccine is suspected, but under investigation. The CDC ascertains there is uncertain evidence of any association between ischemic heart disease and vaccinia (CDC, 2003c). As the pre-event vaccine program expands, occupational health professionals should be cognizant of changes to the smallpox vaccine recommendations and modify their policies and protocols appropriately.
由于2002年12月13日美国免疫实施咨询委员会（ACIP）发布了相关建议，且全国各机构开始实施天花疫苗接种计划，美国疾病控制与预防中心（CDC）的研究人员正在仔细分析不良事件数据。如前所述，CDC建议在接种前筛查标准中纳入心脏风险评估。心肌炎的发作与天花疫苗之间疑似存在明确关联，但仍在调查中。CDC确定，关于缺血性心脏病与牛痘之间存在关联的证据并不确定（CDC，2003c）。随着接种前疫苗计划的扩大，职业健康专业人员应了解天花疫苗建议的变化，并相应地修改其政策和规程。
